1990-072 .-0...
, 1
.. .
/
. ' CERTIFICATE OF OCCUPANCY
TOWN OF OUEENSBURY !
WARREN COUNTY, NEW YORK
t , . Date August 21 19 90'
.,,
This is to certify that work requested to be done as shown by Permit No. 90-79:
' has been completed.
This structure may,tboccu ied as a • - singleA , family dwelling .
,
OROM\94} M&
Location Cornet of C umbia ana Mallery Avenue
Owner . Wayne Mechaniek and Dimnp riapppntpr
\
By Order Town Board .
TOWN OF QUEENSBURY .
.
it
Ad7CD
Director of Bldg. & Code Enforcement
,!
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 90 - 72
WARREN COUNTY, NEW YORK . o
I.
PERMISSION is hereby granted to Martin Mosher cri
-
i
OWNER of property located at Corner Columbia & Mallery Av Street, Road or Ave.
in the Town of Queensbury,To Construct or place a single family dwelling
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
WAYNE MECHANICK AND DIANE CARPENTER
16 Columbia Av
Queensbury NY 12804
2. CONTRACTOR or BUILDER'S Name
Martin Mosher
3. CONTRACTOR or BUILDER'S Address
26 Sugar Pine Rd
Queensbury NY 12804
4. ARCHITECT'S Name
0
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5. ARCHITECT'S Address
s✓
9
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6. TYPE of Construction—(Please indicate by X) -
( 11 Wood Frame ( ) Masonry ( )Steel ( )
Cb
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7. PLANS and Specifications
No. 26' x 40 Single family dwelling as per plot plan, specificiations, and
application
8. Proposed Use
aq
Single family dwelling ro
51,
$ 108.00 PERMIT FEE PAID —THIS PERMIT EXPIRES September 23 19 90
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 23rd Day of March 19 90CrQ
u . ;
, y
SIGNED BY for the Town of Queensbur
Building and Zoning Inspector
J
TO�VNOFQUEEti'SBURI'. ,,Pn�.tC.\.Tfl riUTL p!c ANn ZCNTNcC pEwIT
,(fit - - -- ; -- i.'� cty' -'.�ijr-..r�4'`s t6.+».:
--,../ ....5 . ----, re j, ip Vi' fl I Li. lq IL!)
Fee Fa.td S ,.0 1 MAR�r-� 1990
hUILDINC AND CODES ui.!'ARTI T- Pate Issued ,.. •
;AY .,nd /IAVILAND- ROADS RD 1 Box.993 n,�ILDLNG CODE DEP
nUE£NSBURY,NEW YORK 12404 Penm.t.t N0. f, -72.- .
Tel . (518) 792-Sd]2 £xc 2O4 : ,
-a t * • -t * a- * : a a . a t a a a 't_ t t. • t _ t ■, t ■ ■ t a • t- SSS - ■ a It. a .
A PERMIT MUST DO _ OBTAINED BEFORE BEGINNING CONSTRUCTION. "NO INSPECTIONS
WILL BE :MADE UNTIL APP.L.ICANT ((AS RECEIVED A VALID BLILDINC :_PERMIT.
All applicable spaces on this application must be completed and 'th.e
'0 Paature of the applicant must- appear on the -rev.erse-. side of this sheet .
* * :* * * * * * * - *-..-* A A * * *- * * * * * * * * * * * * . * * .*n * - * * * * *
The owner of this propertyi-s . LG,(, ,: aue.,� "- Al,Aii ,1/L4 _(-r/ i.0- ---
L' . O - Address l(o c I.l ./,�-�24, Q,,,,.., . ` .�ea4 ja ,w/ cA(.la1 T E L
Property. location. CL-I.: ,r,..,/ca�. a- �+ Gzh.42A., _4.r. TAX MAP N 00: //7/ ,. '/ 6
Has there been any split of this property since October 1 , ,1988? / - '---n- I a.
If yes , Planning Board Review is necessary.
. yes - n°�I! l�
SUBDIVISION NAME , - IF APPLICABLE ,' LOT NO . .
The person responsible for supervision of work as, regards: Building Codes is-: -
ah..,.,,� C: A .(.0 q44_ "1 W,/., )42..r n a.4-t rh.ti, 7 9,-I.zs'o
NAME . - P . O . ADDRESS TEL. NO.Name of buildel. . '5 w Address Tel
Name o'f Plumber 5J Address ' _. Tel
Name of Mason S Q,,n,,A__ Address - Tel
•, -
lATuRt OF PROPOSED WORK: _ • ZONING INFORMATION (Office use only)
✓Con::truccion ,of.a new building •. ZONING DESIGNATION OF PROPERTY_
ndaicion to ,a building ' PERMITTED PRINCIPAL PERMITTED ACCESSORY
Altecation to a building ' ,
(no change co exterior dimensions) • REVIEW REQUIRED -.PLANNING BOARD ZONING BOARD_
Ocher work. ( 1e crit,.:) ' SITE.PLAN REVIEW 0 APPROVED DATE
r.:ROSS AREA 01•' PROPOSED. ::TRUC'rURC• • VARIANCE q APPROVED DATE
.st Floor. %D 0 sq .ft .Q \ • . Remarks:
. , --
Ind Floor sq f t.. • COMPLETE iNFO1.M A1i0N 1cLUUI1cLD. ULLUW.
ether Floors sq ft .. • Siva 'of .Property q 0 ft X -//$ ft.
( not collar or basement) - •• Lxisti„g, b•uilding(s) Si::u l•c X tc. -.
•
TOTAL FLOOR ARLA91D D - sq Et . • Existing building(.) Use • •
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''1'i::a of new -scructuru 46 ft. X 'f0 ft '
voubdation-pier/slat,/crawl/harci,+l ell - ' .Yropoo:cd buila.ng, distance trove .1.rohurcy line
(circle one) 33 ft
NO. of stories (habic:,hle -s(?ace) / . I'ronc. yard / 1't Ruhr y:,rd
Ceighe (grade to ridge) 43- ft. • Side yard:; ��f tc :and I cc
• If on corner, setbaek from- side: screut ,3_ft
1f residential, no. of families J.co. of rooms(excludin,i .baths), -9 ' - OCCUPANCY 1NFOR 'ATION
co. of bedrooms PRIMARY BUILDING
Ml o. of bathrooms ' - -/ - -
• 1/One:fan4ily dwelling -
1'riutary heating system 't cat. • ---Two family- dwelling
Type of f_ue). LA Q t .4.L �/ -
multiple dwelling / Number of units
Vi —1
No, of fireplaces to be installed c.. ' ,ea frwncnc occun:ar►cy
Will a wow! stove-be inutalled? , ' • � ,
• �l'r;ansier�t oecup;ancy
Centr:al Air conditioning? • �Busincss
UUILDING ,STYLE, .PRIMARY- STRUCTURE - • - Industrial
1u j Contemporary Lon cabin cabin - w Oc)kr
liaised ranch mansion Duiilex • 1P.ad.liciun vel, vet will u::ab b.:?•
JPllc level- Old style Uunyalow - ' •
C..pu Cod Coet:aye• Other • ACCESSORY BUILDING- •
-
Colonial how . - Town House • Uecached garage/one car/ two car/ " car .
( CIRCLE•' ONi_-PLEASE ) - •. Actochea cjarage/one car/ two e.:t/ cur
F -■ a * r e s t a • . a a . a a SSS • Private storage building - ,
ES'!'IMATED MARKET VALUE OF, -- • Ocher -
CON.I;TkUC'CIUN- , �� �Q D 62-o • -
lNFOnmATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDC OF THIS SHEET, TO BC COMPLETED!
Form t3PA 20/8B w1 -
BUILDING PERMIT APPLICATION C=NTI`iUED -
BUILDING SPECIFICATIONS:
Type of construction; wood frame, fire safe,etc. ,2.A(.�..-2-0{,
Will any second-hand or ungraded lumber be used? If so, for what?
Foundation wall material /B " Thickness
Depth of foundation below grade (to bottom of footing) (o /9 "
Will there be a-cellar? 144 Heated or unheated? )14-- Floor sq. footage 96, sq ft
Will there be a basement. Will any portion be used as living space?
(If so, what portion? sq. ft. - - Type of use?
Type of roof - slopediflat/shed/other Material of roof
Size, wood studs "X / " spacing //0 "o.c. length 1 ft.
Joists (floor beams) 1st. floor "X JO " spacing / "o.c. span J.3 ft.
Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft.
Overlays (ceiling beams) "X 4, " spacing /(, "o.c. span 1,3 ft.
Roof rafters "X f " spacing /(e . o.c. span i3 ft.
Roof trusses(pre-engineered) spacing "o.c. span ft.
Exterior wall finish 1/11 Of what material?
•
Interior wall finish )/a a"
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
Is there to be an opening between garage and dwelling? If so will a Fire-rated
door, enclosure, and self-closing device be provided?
Will a flue-lined chimney be installed? Height above roo.f ft.
Depth of chimney foundation below grade ft.
Depth of fireplace hearth ft. in.
Water supply - Municipal or private well
_SEPTIC SYSTEM Distance from ANY private well(inc uding adjoining properties ft.
(A separate application is necessary for any repair or new installation of septic system)
DECLARATION
To the best of my knowledge and belief the statements contained in this
application, together with the plans and specifications submitted, are a true and
complete statement of all proposed work to be done on the described premises and
that all provisions of the BUILDING CODE, THE ZONING ORDINANCE, and all
other laws pertaining to the proposed work shall be complied with, whether specified
or not, and that such work is authorized by the owner.
•
Signature ` )") C . L.e/�.
Owner, owner's agent, architect, contractor)
•
* * * * * * * * * * * * * * * * * * * * * * * * k * * * * * * * -* * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT: •
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By
WARREN COUNTY , NEW YORK
Application for : BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK
STATE ENERGY CONSERVATION CODE '
. A permit must be obtained before beginning work .
• ANSWER ALL of the following(:
- - .
1 . .Gross floor area /DC . .
2.. • Type of heat 4i6t-- `tic 11.12,
3 . Is the building mechanically cooled? k-)O
4 . Percentage of area of windows and doors
A. Over 16% Only.
1 . Uo value of gross area of- walls , roof/ceiling- and floors
exposed to ambient conditions
•
2 . Floor over heat i. spaces YES ' •
a. Are foundat on walls insulated? YES NO
1 . If -YES . what is the R value?
3. Slab on grade YES ,NO '
a. If YES , wh .t is the - value of insulation around
perimeter of floor?
4. Is basement heated? . YES NO .
a. . R value of insulation -
5. Type of insulation - • '
B. Under 16% Only . .
1.- R, value of roof and Wrs exposed to ambient conditions_
2 . R value of- exterior walls *--1
3 . R -value of glazed area
4 . R value of doors - -
•
5. R value of floors over- unheated spaces / `
6. R value of slab edge insulation - unheated slab ki/AJ
• 7. R value of slab insulation - heated slab 0 IA—
.
8 . R value of heated basement/cellar walls- (above grade) 0/
• ' 9. R value of heated basement/cellar walls (below grade)1//4.
•
10. Type of insulation (1 (20()-5(4113 _
• C. Controls ��� -
1. Thermostat maximum heat setting •
in
D. Duct Systems
. - 1 . - Is duct system installed in unheated spaces? NO
a. ' If YES, R value of duct installation K/D
b. R value of duct in other areas
t. Insulation -
1. : Size of hot water or cooling carrying agent pipe__ -
. ,47
, : q value of pipe insulation
F. Service Water Heating. -
1. Performance efficiency
2. ' Temperature control setting . maximum - -
G. - For Swimming Pool Only
• . 1'. Maximum heating
Telephone No. 7 5 a � /...�'d - o� i'' -awl -
(applicant' s signature) •
TOWN OF QUEE-NSPURY
^`- APPLICATION FOR , I L I ir, It jj V' L_
--_vim > SEPTIC DISPOSAL PERMIT MAR 20 1990
411111,
PIA UDING & CODE DEPT
DATE ' v - 9 G
•
LOCATION OF PROPERTY FOR INSTALLATION C . �� -i• ',1 •
Owner's Name: e.u,y ,_i„„ Telephone:
Address: / (v 1l(.c,c,c, . ,,J/.-1-' . -.
Installer's Name: )Gam ,,,i C . Telephone: 7 9 z - l x..-o
Number of bedrooms (residential only) oR
Total daily flow (compute (d 150 gal per bedroom) . ,_._ D D
Topography: Circle one: Flat Rolling Steep Slope % of Slope 4,�Q -•
Soil Nature: Circle one: Sand Loam Clay Other . /Depth: Feet
Ground Water: At what depth? Feet
Bedrock or Impervious Material: At what depth? Feet
Percolation test: Circle one: not required .required rate min. inch.
Domestic water supply: circle supply one.,MMunicipal Well Other
If domestic water su 1 is a well:
Separation: Water supply from septic absorption feet
PROPOSED SYSTEM: Septic Tank 1 ./ - gal. (minimum size: 1,000 gal.)'
TILE FIELD: Each Trench feet/Total system length feet
SEEPAGE PIT(S): Number of 2 / Size each ' feet by (, feet
Size of stone to be used # o,._ /Depth or Thickness feet
*************************
I have read the.regulation on the reverse side of this sheet and agree to abide by these
and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
SIGNATURE OF RESPONSIBLE PERSON: -,r\ ( ,,,,,;, C, . \evv,s,..--Lt„-
DATE: 7j a 0 9 D
OVER
Septic 'System Inspections:
A. All applications for septic system installation, alteration or repair,
as required by the Town of Queensbury Sanitary Sewage Ordinance, shall
be submitted to the Building Department at least 24 hours before start
of. construction and shall include a plot plan showing: -
1.) the proposed location of the system
2.) location and distance to. lot lines
3.) location and distance to structures
•
4.) location and distance to any water supply. •
5.) size and dimensions of all tanks, distribution boxes;
tile fields and/or. drywells
B. Nu system shall be covered before ,inspection and approval by the
Building Inspector. Failure to comply with this requirement may
result in the uncovering of the system by the installer and a fine
of up to $250.00.
C. An approved copy of the plot plan shall be available on the construction
site. Failure to. produce said plot plan at time of inspection may
result in an immediate work stoppage.
D. Should unforeseen problems during. construct.ion prevent proper installa—
tion, alteration or repair of an approved system, a new proposal must
be submitted to the Queensbury Building Department before further
construction.
•
Town of Queensbury
BUILDING and CODES DEPARTMENT
Bay and Haviland Roads
Queensbury, New York 12804
Remarks: •
THE NEW YORK BOARD OF FIRE UNDERWRITERS CERTIFICATE NO.
DO NOT WRITE HERE-FOR OFFICE USE ONLY
i
BUILDING PERMIT NO.
TEMP.# DATE f :!
CITY OR VILLAGE - TOWNSHIP COUNTY
STREET AND NO.OR ROAD /� -.. - POLE NUMBER
s it_,- .- _ f f -> f d
BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION ,r - `BLOCK LOT '
OCCUPANTS NAME BUILDING OCCUPANCY --.
OWNER'S NAME AND ADDRESS HOME TELEPHONE NUMBER
CURRENT SUPPLIED BY r FROM THEIR OFFICE f WORK TELEPHONE NUMBER
�.1"1,4.... _ =R. . .:.., .if..i; - / % :..^� -f' may-% , -
BUILDING IS -'', .-
NEW X+ OLD❑ WORK IS NEW V ADDITIONAL❑ DEFECTS REMOVED❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED .
NUMBER OF OUTLETS No.of Fixtures& MOTORS HEATERS BRANCH OFFICE USE
Lode- Lamp Receptacles CIRCUITS ONLY
lion •
Side Attach't H.P. Watts A.W.G. '
Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Each No. Each , No. Gauge INSPECTION
. OUT- -
• SIDE • .
SUB- '
BASE
BASE- .
MENT
' 1st '
FL.
. - 2nd
FL.
3rd
FL. .
. "REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE. •
THIS APPLICATION IS INTENDED TO.COVER THE ABOVE-LISTED EQUIPMENT TO BE INSPECTED,BUT IF AT TIME OF INSPECTION,THERE IS '
FOUND ADDITIONAL EQUIPMENT NOT ABOVE LISTED,YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE TO COVER
THE ADDITIONAL EQUIPMENT,AS PROVIDED BYTHE APPLICANT.
SIZE OF MAINS FEEDERS ELECTRIC SIGNS/LAMPS TOTAL WATTS
•
CHARACTER OF WORK ❑ EXPOSED GAS TUBE SIGN/TRANSFORMERS OF VA
❑ CONCEALED
DATE WORK-TO BE STARTED DATE COMPLETED SIZE OF SIGN(NUMBER) CAPACITY
• - SERVICE ENTERS BUILDING MANUFACTURER OF SIGN
❑ OVERHEAD ❑ UNDERGROUND
DATE INSPECTIOiN REQUESTED ON(OR AS NEAR AS POSSIBLE) MUST ENTER IDENTIFICATION NUMBERS I I I I I !
AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. -
PRINT NAME AND ADDRESS
NAME OF APPLICANT vi • DATE OF APPLICATION SIGNATURE OF APPLICANT
STREET ADDRESS ' TELEPHONE NO.
/ 1 )) -?.� I -./' .
CITY OR POST OFFICE ;J/ „ , ,)ZIP CODE LICENSE.NO.WHEN APPLICABLE
11ohn Street El41.State Street ❑ 570 Delaware Avenue ❑ 217 Lake Avenue ❑ 202 Arterial Road
W YORK,NY 10038 ALBANY,NY-12207 BUFFALO,NY 14202 ' ROCHESTER,NY 14608. SYRACUSE,NY 13206
I ' TH'F NFW YORK BOARD OF FIRE UNDERWRITERS
- MIDDLE DEPARTME NSp CT ON AGENCY, INC. y)
ors- • a,. ,..�;��..� 8108 6)0.-/)
9110 sr!" , " venutf '�t��q'rw
"t .e %t zap 4',V.-
of Date July 3, 1990
Qtttttfmmb that • 'e ct je'a ° quipment listed has been exar 1!a an"ip approved as being in accord s)
s with the National Electra' ose applicable governmental, utility a�n'iii_Agvc r es.
Martin Mosher 1 �'' <' � � ��p` "� � well n
COwner: r r C upan, . � „ ` C
Occupant: Same t ,,r,� it4 1 1�; t t. 4 >�
Cor Columbia. 11 ue sb ,1„,, a acre— t "
Location: _ 1ry Q is+tlittificatea tptttlectnc uipment and installation inspected this C
C t date. If additional equip1TtentfshQpi1 be introduced or alterations made to
` tt existing system this cei ficale ,. be null and void, and application for
Equipment: 55 Out lets^=.2 Receptacles; 15 iTtL �$j inspection should 0submrttedp tly to this Agency.
�� � \ w }. :j 4 a r? folder of this cedificate shoVtdt{Sj en!same to his property insurance carrier 1
200 Amp Servic' \\ Appliances, e 1 flS `�agentorcompariy)asevidinca "unification of electrical equipmentapproved
' as specified. C
1 Protective S a ing Device , C
d
Sam CorhouseI �
C Applicant: 11 Potter Road 'e : , �° _isEls 'N0.
( L Gansevoort, NY 1283 " "` .. : 16-036310 C
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT POL./
BAY & HAVILAND OADS
QUEENSBURY, NEW YORK 12804-
TELEPHONE (518) 792-5832 1
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVE/ ) Ij (
}On __
NAME r (101-1-1l 1 1( U -- Y_J
S
LOCATIO�6k L CO ( rr' (L k C ,'1 I' (b1"
DATE y fi (
C(L� PERM II# q« 12_
6 //� �� APPROVED
,_a _ ut(2---ct.eI\YES NO
FO TING/PIERS \ I
MONOLITHIC POUR FORMS I
FOUNDATION/DAMP-PROOFING I
BACKFILL APPROVAL\ I
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH- • I
INSULATION: I
FOUNDATION / A
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING I \ • • • P''-'
SIDING
EXTERNAL PORCHES/ST S
STAIRS-CLEARANCE ILS
PLUMBING FIXTUR S/RE IEF VALVE
INTERIOR TRIM/ RIVACY DOORS
FINISHED FLOOR
GARAGE FIREPR FIND • i(/�/.�-
DOOR CLOSER(S • ,!/fA-
SMOKE DETECTO S \ I _
FINAL ELECTRIC L INSPECTION
FINAL APPROVAL OF CONSTRU 1 TION .
OK TO ISSUE C/ OR C/C '(
A SIGNED CERT FICATE OF OCaVPANCY MUST BE
OBTAINED FRO THE BUILDING EPARTMENT BEFORE
THESE PREMIS S ARE OCCUPIED!
REMARKS: \ .
Pt U P Cio l c
. I \L :
ARRIVE
DEPART Z' K" (4:7) . v
IN ECTOR
awn o/ Queenittr . .
BUILDING and ZONING DEPARTMENT ,Eat-z
Bay did Haviland Road, R.D. 1 Box 98
Q eensbury, New York 12801 ��
SEPTIC ISPOSAL SYSTEM InSPECTION
NAME . /g i()A
LOCATION /1a 1.41
DATE �/l / PERMIT NO. l OG
SOIL TYPE - S:;nd - Loam - lay -
Percolation T=st Required ' YES - NO
Percolation r.te - Min/I : h
TYPE of SYSTEM
Absorption fie ; total i e t• -
Length of each --
Depth of chs "
Si-- of gravel_
SEEPAGE PITS{N 'per of) _
Size- roft.._X 1?-ft'
Gravel size -tft Size Type
Bldg. to tank L f .eic
Tank to dist. box Cf • " LIG
Dist. box to field . ■ If- WC--
Openings sealed? It� NO -Partial
LOCATION/SEPARATIONr-'
Foundation to tank f
Foundation to absoip :on f .
Absorption to lot •lin- f �
Separation of pit.. f .
LOCATION OF SYST0' ON .-sPERTY(circle one)
ont - Rear - ;ft si.e - Right side -
Coe ENTS:
Orilla
SYSTEM USE .:PPROVED CY NO`.
1 /
L .f
Building nsp:- tor
01/86 and vl
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS 4:
QUEENSBURY, NEW YORK 12804- /'y //y�,,
TELEPHONE (518) 792-5832 7/%2
UILDING INSPECTOR'S REPc'T
REQUEST FOR INSPECTION RECEIVED Ot47 /4?d
NAME 1,17A J(-1y-2-10 //l� .�L4U
LOCATION ed-( (& t a ;,kaiety,
DATE G/L /;;/ z) PERMIT # 9t - 72,
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POU1 FORMS
FOUNDATION/DAMP•PROOFING
BACKFILL APPROV'L
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH IN
INSULATION:
FOUNDATION (. ) R=�
FLOORS .
WALLS 2 . 1 •
CEILING x
FINAL INSPEC ION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHE S EPS
STAIRS-CLEARANC & ''ILS
PLUMBING FIXTU'ES/R' LIEF VALVE
INTERIOR TRIM/•RIVAC.Y DOORS
FINISHED FLOORS
GARAGE FIREP"••FING
DOOR CLOSER(:)
SMOKE DETEC ORS
FINAL ELECTRr AL INSPECTION
FINAL APPROVT L OF CONST'+UCTION
OK TO ISSUE C/O OR C/C
A SIGNED •i RTIFICATE OF •'CCUPANCY MUST BE
OBTAINED ROM THE BUILDI DEPARTMENT BEFORE
THESE PR:MISES ARE OCCUPI`: D!
REMARKS
ARRIVE /
DEPART 2 4i/f
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPOT
REQUEST ' OR INqPECTTON RECE ED `
NAME / )'/ r " /�� (. C1 1I7JG-
LOCATION C _f1/%h? ,� "/
l I /(V �lI
�rCI'
rf,
DATE lJ ' ! PERMIT # t r 01U 2-
APPROVED
YES NO
FOOTING/PIE'.
MONOLITHIC Pi7UR FORMS 1
FOUNDATION/D' P-PROOFING r
BACKFILL APPROVAL <<`
OUGH PLUMBIN I x
FRAMING
ELECTRICAL ROUe -IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/•'CEPS
STAIRS-CLEARANCE : RAILS
PLUMBING FIXTURE"/'`; LIEF VALVE
INTERIOR TRIM/PR!VAr DOORS
FINISHED FLOORS
GARAGE FIREPROO( ING
DOOR CLOSER(S)
SMOKE DETECTO'.
FINAL ELECTRICA; INSPECT ON
FINAL APPROVAL .OF CONSTR TION
OK TO ISSUE C/ri OR C/C
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FRO; THE BUILDING ,EPARTMENT BEFORE
THESE PREMIS S ARE OCCUPIED.
REMARKS: I L 1 n22 C•N
6. 6f)-. US Yi
C 6. LM& C4NJc i & cl'EO
ARRIVE
DEPART 3; 0
NSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS ff
QUEENSBURY, NEW YORK 1280� ;4
�'/
TELEPHONE (518) 792-5832
BUILDING INSPECTOR' ; REPORT
REQUEST FOR I PECTION RECEI ; D64 / Q
NAME /,(-Jty •
LOCATION e
DATE 4 ,//; PERMI. # �1„
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR `'ORMS
FOUNDATION/DAMP-•t•OOFING
BACKFILL APPROVAL.
ROUGH PLUMBING
)(FRAMING ,4?-ud1,
ELECTRICAL RdIGH-I ' '
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING -
SIDING
EXTERNAL PORCHES/S `E•S
STAIRS-CLEARANCE &. •.ILS
PLUMBING FIXTURES PE ET VALVE
INTERIOR TRIM/PRI1ACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFIiG
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL SPECT '''N
FINAL APPROVAL OF CONSTRU4;TION
OK TO ISSUE C/O O* C/C
A SIGNED CERTIFI TE OF OCt:UPANCY MUST BE
OBTAINED FROM TH BUILDING DEPARTMENT BEFORE
THESE PREMISES A E OCCUPIED
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REMARKS: pp //JJ ki 5
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ARRIVE
DEPART A()
SPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS j `l
QUEENSBURY, NEW YORK 12801- Y2
TELEPHONE (518) 792-5832
ILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME 3IG(�/} i v� `) fiLd- i/LY ��
LOCATION
��/J'/ . iy�Y,�11 V f C�f� `< 7 2 i'•
DATE 6i`�"''� PERMIT # 9 7 7 O
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC PO FORMS
7(FOUNDATION/D -PROOFING w/
BACKFILL APPROVAL f�
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUG .-IN
INSULATION:
FOUNDATION
FLOORS
WALLS .
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/"TD+'S
STAIRS-CLEARANCE & '•ILS
PLUMBING FIXTURES/BELIEF VALVE
INTERIOR TRIM/PRI Y DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL NSPEC'ION
_FINAL APPROVAL O; CONST"UCTION
OK TO ISSUE C/O ;•R C/C
A SIGNED CERTI1.ICATE OF ICCUPANCY MUST BE
OBTAINED FROM HE BUILDI DEPARTMENT BEFORE
THESE PREMISE ARE OCCUPI.D!
REMARKS:
,r, 3,4&k_F•
ARRIVE tO. �"'
T n'�� ♦- •
DEPART
INSPECTOR
TOWN OF QUEENSBURY •
BUILDING AND CODES DEPARTMENT `
1 .
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280i
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
{
REQUEST FOR INSPECTION RECEIVED 5-/z 2 /5 Q
S/t
NAME �(.L l �, r Y
LOCATION 1 — s
DATE U72lj 9O PER MIT # g6-72-
. 1t`� • APPROVED
I YES NO
1 / (._,
FOOTING/PIERS ,5
MONOLITHIC FOUR FORMS I
FOUNDATION/DAMP—PROOFING
BACKFILL APPROVAL 1
ROUGH PLUMBING '
FRAMING 1 1
ELECTRICAL DOUGH—I " "
INSULATION: r
FOUNDATIONS S
FLOORS 1 ; " " . .
WALLS 1
. /. . . . . .
CEILING 1 " .
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING 5 4 ."
SIDING
EXTERNAL PORCHES/STEPS
STAIRS—CLEARANCE & RAILS .
PLUMBING FIXTURES/RELIEF VALVE •
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS _
GARAGE FIREPROOFING
DOOR CLOSER(S);S •
SMOKE DETECTORS
FINAL ELE4TRICAL\INSPECTION" "
FINAL APPROVAL OF'CONSTRUCTION "
- OK TO ISSUE C/O OR .C/C '
A SIGNED/CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!"
REMARKS:
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DEPART • \52-111C-
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INSPECTOR
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